基于循证和德尔菲法构建围麻醉期护理质量敏感性指标  

Sensitive indicators for the quality of perianesthesia nursing care based on evidence-based and Delphi method

作　　者：朱潇玲 马涛洪[2] 祁学峰 王亚莉 冯可欣 刘幸 Zhu Xiaoling;Ma Taohong;Qi Xuefeng;Wang Yali;Feng Kexin;Liu Xing(School of Nursing Care,Shanxi Medical University,Taiyuan 030001,China;Department of Anesthesiology,the First Affiliated Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Brain Intensive Care Unit,the Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]山西医科大学护理学院,太原030001 [2]山西医科大学第一医院麻醉科,太原030001 [3]浙江大学医学院附属第二医院脑重症医学科,杭州310009

出　　处：《国际麻醉学与复苏杂志》2022年第9期956-962,共7页International Journal of Anesthesiology and Resuscitation

摘　　要：目的构建围麻醉期护理质量敏感性指标,为监测与评价围麻醉期护理质量提供标准、量化的依据。方法以Donabedian"结构-过程-结果"质量评估模型为理论基础,采用约翰霍普金斯循证护理方法拟定指标初稿,德尔菲法确定指标终稿,层次分析法计算各指标权重。结果经过两轮专家函询,专家积极系数均为100%,权威系数为0.903和0.910,肯德尔协调系数为0.139和0.189,差异有统计学意义(P<0.05)。形成了包含3项一级指标,15项二级指标和66项三级指标的围麻醉期护理质量敏感性指标。结论基于循证和德尔菲法构建的围麻醉期护理质量敏感性指标具有科学性和可靠性,可为麻醉科护理质量控制和持续质量改进提供参考依据。Objective To establish the sensitive indicators for the quality of perianesthesia nursing care,so as to provide standard and quantitative evidence for monitoring and evaluating the quality of nursing care during perianesthesia.Methods Based on Donabedian"structure-process-result"quality assessment model,the first draft of perianesthesia nursing quality sensitive indicators was constructed by Johns Hopkins evidence-based nursing method and final draft was constructed by Delphi method.Analytic hierarchy process was used to calculate the weights of indicators.Results The positive coefficients for the two rounds of expert consultation all were 100%,the expert authority coefficients were 0.903 and 0.910 respectively,and the Kendall's coefficients were 0.139 and 0.189 respectively,with statistical difference(P<0.05).The final draft of perianesthesia nursing quality sensitive indicators were constructed including 3 first-level indicators,15 second-level indicators and 66 third-level indicators.Conclusions The sensitive indicators for the quality of perianesthesia nursing care constructed by evidence-based nursing and Delphi method were scientific and reliable,which can provide evidence for quality control of nursing care and continuous improvement of quality in anesthesiology department.

关 键 词：麻醉护理 循证护理 敏感指标 质量控制 德尔菲法 层次分析法 

分 类 号：R473.6[医药卫生—护理学]